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1982098869
NINA MARIE RUSSELL
FLORENCE, SC
NPI
1982098869
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 19366)
Enumeration Date
2015-03-27
Last Update Date
2015-03-27
Business Address
-- NINA MARIE RUSSELL FNP-C
500 S COIT ST
FLORENCE, SC 29501-5221
Phone number: 843-667-9947
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Mailing Address
-- NINA MARIE RUSSELL FNP-C
2109 SANDERLING DR APT E
FLORENCE, SC 29505-3813
Phone number: 843-687-9612
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